a |
Today is: |
1. When did it manifest? (date and time) |
2. How long did it last? |
3. What was the child doing before she was in pain and where was she? |
4. Which behavior did your daughter manifest that made you realize she was sick? |
5. According to your daughter, where was the pain (belly, teeth, head…)? |
6. If you were to write on a scale from 1 (minimum pain) to 10 (maximum), how intense was it? |
7. What did you do to ease the pain? |
8. When you intervened, how long did the intervention last? |
b |
Date: |
1.When did it manifest? (date and time) |
2. How long did it last? |
3. What was the child doing before the pain started and where was she? |
4. What behavior did your daughter manifest to show you she was happy? |
5. According to her what makes her feel good? |
6. If you were to write on a scale from 1 (minimum pleasure) to 10 (maximum), how intense was it? |